Active NPI
Rick Cole
- Community Health Worker
- Hedgesville, WV
National Provider Identifier
1962088096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 2157 Providence Church Rd
Hedgesville, WV 25427-5208 - Phone
- (304) 268-1262
- NPI assigned
- Mar 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2157 Providence Church Rd
Hedgesville, WV 25427-5208
Mailing address
2157 Providence Church Rd
Hedgesville, WV 25427-5208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2021.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1962088096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2157 PROVIDENCE CHURCH RD",
"city": "HEDGESVILLE",
"state": "WV",
"postal_code": "254275208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 PROVIDENCE CHURCH RD",
"city": "HEDGESVILLE",
"state": "WV",
"postal_code": "254275208",
"telephone_number": "304-268-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "RICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-19",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hedgesville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.